24D2023897 CLIA NUMBER - LAKE COUNTY AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 24D2023897
  • Facility Name: LAKE COUNTY AMBULANCE SERVICE
  • Facility Address: 421 20TH AVENUE
    TWO HARBORS, MN
    ZIP 55616
  • Facility Phone: (218) 834-7111
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JULIA SHEPERSKY
  • NPI Number: 1053587527
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 24D2023897
LAB Type Ambulance
Facility Name LAKE COUNTY AMBULANCE SERVICE
Street 421 20TH AVENUE
City TWO HARBORS
State MN
ZIP 55616
Phone 2188347111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Ambulance
Lab Director JULIA SHEPERSKY

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This page was last updated on: 5/18/2026